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AHRQ QI, Inpatient Quality Indicators #29, Technical Specifications, Laminectomy or Spinal Fusion Rate www.qualityindicators.ahrq.gov

Laminectomy or Spinal Fusion Rate

Inpatient Quality Indicators #29 Technical Specifications

Area-Level Indicator Procedure Utilization Indicator AHRQ Quality Indicators, Version 4.3, August 2011

Numerator

Discharges age 18 years and older with a laminectomy or spinal fusion procedure.

ICD-9-CM Laminectomy or Spinal Fusion procedure codes:

0302 0309 8050 8051 8059 8100 8101 8102 8103 8104 8105 8106 8107 8108 8109 REOPEN LAMINECTOMY SITE SPINAL CANAL EXPLOR NEC EXC/DEST INTVRT DISC NOS EXCISION INTERVERT DISC OTH EXC/DEST INTVRT DISC SPINAL FUSION NOS ATLAS-AXIS FUSION OTH CERV FUSION, ANTER OTH CERV FUSION, POSTER DORSAL FUSION, ANTERIOR DORSAL FUSION, POSTERIOR LUMBAR FUSION, ANTERIOR LUMBAR FUSION, LATERAL LUMBAR FUSION, POSTERIOR REFUSION OF SPINE 8130 8131 8132 8133 8134 8135 8136 8137 8138 8139 8161 8162 8163 8164 8451 SPINAL REFUSION NOS (OCT01) REFUSION OF ATLAS-AXIS (OCT01) REFUSION OF OTH CERV ANT (OCT01) REFUS OF OTH CERV POST (OCT01) REFUSION OF DORSAL ANT (OCT01) REFUSION OF DORSAL POST (OCT01) REFUSION OF LUMBAR ANT (OCT01) REFUSION OF LUMBAR LAT (OCT01) REFUSION OF LUMBAR POST (OCT01) REFUSION OF SPINE NEC (OCT01) 360 SPINAL FUSION (OCT02) FUS/REFUS 2-3 VERTEBRAE (OCT03) FUS/REFUS 4-8 VERTEBRAE (OCT03) FUS/REFUS 9 VERTEBRAE (OCT03) INS SPINAL FUSION DEVICE (OCT03)

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Exclude cases: MDC 14 (pregnancy, childbirth, and puerperium) with missing discharge disposition (DISP=missing), gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing)

Denominator

Discharges in the numerator are assigned to the denominator Metro Area1 or county of the patient residence, not the Metro Area or county of the hospital where the discharge occurred.

1

The term "metropolitan area" (MA) was adopted by the U.S. Census in 1990 and referred collectively to metropolitan statistical areas (MSAs), consolidated metropolitan statistical areas (CMSAs), and primary metropolitan statistical areas (PMSAs). In addition, "area" could refer to either 1) FIPS county, 2) modified FIPS county, 3) 1999 OMB Metropolitan Statistical Area, or 4) 2003 OMB Metropolitan Statistical Area. Micropolitan Statistical Areas are not used in the QI software. Page 1

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